Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.70 / $616.92 / $2,378.54	Facility		$259.70	$616.92	$2,378.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.97 / $306.39 / $434.46	Professional		$255.97	$306.39	$434.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $404.70 / $404.70	Professional		$282.39	$404.70	$404.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $546.89 / $765.65 / $2,007.09	Facility		$546.89	$765.65	$2,007.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.00 / $454.73 / $873.08	Professional		$292.00	$454.73	$873.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $435.91 / $578.15 / $1,011.75	Facility		$435.91	$578.15	$1,011.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $464.86 / $464.86 / $464.86	Professional		$464.86	$464.86	$464.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $361.45 / $681.46	Professional		$263.86	$361.45	$681.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.64 / $546.89 / $759.33	Professional		$415.64	$546.89	$759.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.13 / $683.61 / $697.29	Professional		$676.13	$683.61	$697.29
United Facility/Professional Professional Modifier Low / Median / High Price $181.89 / $272.83 / $454.73	Professional		$181.89	$272.83	$454.73